North Carolina — Blue Ridge Parkway mountain mist

North Carolina Respiratory Therapist License

North Carolina Respiratory Care Board

Total Fee
$138
Processing Time
4 to 6 Weeks
Fingerprints
Required
IdentoGO / SBI
Temp License
Not available
See board

What You'll Need

  • Official Transcripts — Must be sent directly from the educational institution to the Board.
  • NBRC Credential Verification — Official verification of RRT status from the NBRC. Request Verification
  • Fingerprint Card — Required for the criminal history record check; instructions provided upon application.
  • BLS/CPR Card — Copy of current certification from AHA, Red Cross, or ASHI.
  • Passport-style Photo — A 2x2 photograph may be required for the application file.

How to Apply

  1. Create RCP Gateway Account
    Establish a licensure account via the RCP Gateway portal on the Board's homepage to begin the application process.
    RCP Gateway
  2. Submit Online Application and Fees
    Complete the online application form and pay the total initial fees of $213 ($50 application fee, $125 initial license fee, and $38 background check fee).
    Apply for Licensure
  3. Request Official Transcripts
    Have your official transcripts sent directly from your CoARC-accredited respiratory care program to the Board office.
  4. Verify NBRC Credentials
    Provide verification of your Registered Respiratory Therapist (RRT) credential from the National Board for Respiratory Care (NBRC).
    NBRC Verification
  5. Complete Background Check
    Follow the instructions provided in the portal to complete the fingerprinting process. North Carolina residents use LiveScan; out-of-state applicants must mail paper fingerprint cards.
    Background Check Info
  6. Submit CPR/BLS Certification
    Upload or mail a copy of your current Basic Life Support (BLS) or CPR certification from an approved provider like the AHA or Red Cross.
Total Fee
$138
Processing Time
4 to 6 Weeks
Fingerprints
Required
Temp License
Not available

Transfer License

Requirements
Respiratory Therapists licensed in another state can often apply via endorsement by providing license verification and current certification.
Apply to transfer

Steps

  1. Apply via Reciprocity
    Log into the RCP Gateway and select the reciprocity application path.
    RCP Gateway
  2. License Verification
    Provide official verification of all current and past respiratory care licenses held in other jurisdictions.
  3. NBRC Verification
    Ensure your RRT credentials are verified and sent to the North Carolina Board.
    NBRC Portal
  4. Criminal Background Check
    Complete the required fingerprinting process as directed by the Board.
Total Fee
$50
Renewal Cycle
Every 2 years
Compact
No
Board
North Carolina Respiratory Care Board

Keeping Your License Active

North Carolina Respiratory Therapist licenses renew Every 2 years. Contact the North Carolina Respiratory Care Board for continuing education requirements and renewal deadlines.

Renew on the board site

Fees

ItemAmount
Application$100
Endorsement application$100
Fingerprint check$38.00
Temporary permitSee board
Renewal50.0

Slow Downs

Background Check Processing
The SBI background check can take 2-8 weeks. Delays often occur if fingerprints are of poor quality and rejected.
Missing Transcripts
Applications are not processed until official transcripts are received directly from the school.
Incomplete NBRC Verification
Failure to request official verification from the NBRC can stall the final approval of the license.

Questions

How much does it cost to get a license in North Carolina?
The total initial cost is $213, which includes a $50 application fee, a $125 initial active license fee, and a $38 background check fee.
How many continuing education hours are required for renewal?
Licensees must complete 12 hours of continuing education annually. At least 6 of these hours must be 'live' or traditional style (direct interaction).
Does North Carolina issue physical wallet cards?
No, the Board transitioned to a digital system in 2018. Licensees and employers must use the 'License Look-up' feature on the Board's website for verification.
How long is the license valid?
Licenses are valid for one year and must be renewed annually by the last day of the month in which the license was initially granted.
Can I work while my application is pending?
No, you must have an active license or a provisional/temporary license issued by the Board before practicing respiratory care in North Carolina.

Board Info

North Carolina Respiratory Care Board
Sources
North Carolina Respiratory Care Board State statutes
Last verified 2026-02-25